Test Request Form

Thanks for visiting Geelong Mums!

To access our services all caseworkers, social workers and maternal and child health nurses must be registered with Geelong Mums.

If you are not yet registered, please register here prior to completing this form.

Please complete one form for each family you are requesting for, unless you are placing an order for bulk stock. In this instance, please add "bulk stock" in the "mother's or primary carers name" field.

For helpful hints on how to complete this form please click here.   

For further assistance or for emergency requests, please contact the Social Services Coordinator via email or on 0481 184 465.

We look forward to receiving your request soon - thank you for your support of families in need.

Important to note: We are experiencing an ongoing high demand for reversible and toddler car seats and cots. We ask that you please explore all other avenues to access these items before requesting them through us. This includes Maternal and Child Health Services - Nursery Equipment Program and any available funding or brokerage.

 

Your Details

example: 0400111333

Family Information

Items Required

(length, width and height, you should find these measurements on the base of the cot)

Clothes

If clothes are needed, please enter the number of clothing bags on the size required. Please note that clothing bags contain 80-100 items.

 Size   Boy  Girl
 Uni Prem:    
Prem     
Birth-1    
1-2    
2-3
3-4
4-5
5-6
7-8
9-10
11-12
13-14
15-16

Shoes

If shoes are needed, please enter the number of packs on the size required, note that there are approximately 5 pairs of shoes per pack (C = child, Y = youth)
 Size   Boy  Girl
C5
C6
C7
C8
C9
C10
C11
C12
C13
Y1
Y2
Y3
Y4
Y5
Y6
Y7

Linen bags

Please enter the number of bags required. These include wraps and sleeping bags.

 Size   Boy  Girl Unisex
Bassinet
Cot
Single Bed

Opening Times

Our opening hours for collections are Monday to Friday from 10:00am to 2:00pm.

Criteria for collection:

  • Pick up must be at least 2 business days from date of order. This is to give us enough time to prepare stock for you.
  • Clients must be 6 months or 28 weeks pregnant to book a collection date.  If you are ordering before your client is 28 weeks pregnant you will need to email us closer to the due date to schedule collection. We will also send you a reminder.